Malaysia has been rapidly transitioning to an urban dominated society. World Bank (2017) estimates that 76% of Malaysia’s population now lives in urban areas, a figure increasing by over 0.5% per year. The key adaptation themes described in Malaysia’s 2015 submission to the UNFCCC, its Biennial Update Report, reflect this, emphasizing the need for urban adaptation. Areas covered include urban surface water flooding, urban heat island, ensuring water supply and quality, and public health issues such as the spread of vector-borne diseases. Additional areas demanding adaptation action include addressing climate change impacts on agriculture and particularly crop yields, as well as issues affecting ecosystem health, forestry, and coastal areas.